AC Joint Separation (Shoulder Separation) Treatment in Tennessee
Find orthopedic specialists who treat ac joint separation (shoulder separation) in Tennessee
A shoulder separation, formally an acromioclavicular (AC) joint separation, is an injury to the ligaments connecting the clavicle (collarbone) to the acromion (part of the shoulder blade). It is one of the most common shoulder injuries, typically caused by a direct fall on the shoulder or outstretched arm in contact sports, cycling, and skiing. The severity is graded I through VI based on which ligaments are torn and how far the clavicle displaces. Most injuries are Grade I-III and heal well without surgery.
Common symptoms of ac joint separation (shoulder separation)
- Pain at the top of the shoulder where the collarbone meets the shoulder blade
- A visible bump or step-deformity over the AC joint in higher-grade injuries
- Tenderness when pressing directly on the AC joint
- Pain when reaching across the body, lifting the arm overhead, or sleeping on the shoulder
- Shoulder weakness in the acute phase
- Clicking or grinding at the AC joint with shoulder movement
When to see a specialist
See an orthopedic specialist promptly after any shoulder injury with pain at the top of the shoulder. X-rays (sometimes with weight-bearing views) confirm the diagnosis and grading. Grade I-II injuries are treated non-surgically; Grade III is controversial; Grade IV-VI injuries typically require surgical reconstruction to restore stability.
Treatment options
Rest, ice, and sling immobilization
Appropriate for Grade I-II injuries. 1-3 weeks of sling wear for comfort while the ligaments heal, followed by progressive range-of-motion and strengthening exercises.
Physical therapy
Essential for all grades. Restores range of motion, shoulder strength, and scapular stability. Most patients return to sport within 2-6 weeks for Grade I-II injuries.
Cortisone injection
For chronic AC joint pain after lower-grade separations that heal with a residual painful bump. Also effective for AC joint arthritis that develops years after separation.
AC joint reconstruction
Surgery for Grade IV-VI injuries and selected Grade III injuries, particularly in young athletes and laborers. The torn ligaments are reconstructed using a graft or implant to restore clavicle position and stability.
Recovery timeline
Grade I-II: return to sport in 1-3 weeks. Grade III (non-operative): 6-12 weeks. Surgical reconstruction: return to sport in 4-6 months. A residual bump over the AC joint is common in higher-grade injuries even after successful healing and rarely affects function.
Orthopedic Specialists in Tennessee
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Common Questions About AC Joint Separation (Shoulder Separation) Treatment in Tennessee
How do I find a doctor for AC Joint Separation (Shoulder Separation) in Tennessee?
AdvOrtho lists orthopedic surgeons across Tennessee who treat AC Joint Separation (Shoulder Separation). Browse the providers on this page, view their credentials and sub-specialties, and request an appointment directly from their profile.
Does insurance cover AC Joint Separation (Shoulder Separation) treatment in Tennessee?
Most major insurance plans cover medically necessary treatment for AC Joint Separation (Shoulder Separation), including consultations, imaging, physical therapy, and surgery. Coverage details vary by plan. Contact your insurer or the provider's office to verify coverage before scheduling.
What type of doctor treats AC Joint Separation (Shoulder Separation)?
AC Joint Separation (Shoulder Separation) is typically treated by an orthopedic surgeon. Depending on the specific condition, you may see a specialist in sports medicine, joint replacement, spine surgery, or another orthopedic sub-specialty.
This page is for informational purposes only and does not constitute medical advice. Always consult a qualified orthopedic specialist for diagnosis and treatment.